Magen David Adom (MDA), Israel’s national rescue organization, is responsible for the country’s ambulance services and blood services, among other critical activities. As the frontline of emergency medicine in Israel, MDA plays a central role in the ESCORT project, ensuring that technological innovations are grounded in clinical reality.

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As a clinical partner, MDA serves as the bridge between technology developers and the realities of prehospital care. Our paramedics operate in highly dynamic environments, where every decision matters. By bringing this perspective into ESCORT, MDA highlights the needs, challenges, and constraints that must be addressed when designing decision support systems.

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In recent months, MDA has provided extensive documentation of field protocols, including detailed explanations of the decision-making process paramedics follow during emergencies. These inputs help map not only what happens clinically but also how paramedics think in real time, which is essential for modeling and supporting their workflows.

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Together with INTRA and UTH, MDA is helping to turn the clinical reality of paramedics into a structured, technology‑ready format. INTRA focuses on building the decision support system (DSS) logic, which knows the treatment protocols and can follow how well the paramedic sticks to them, raising alerts when something seems inconsistent. UTH develops the voice‑to‑data component with MDA, ensuring that everything the paramedic says is transcribed accurately in urgent and noisy settings. This work brings together the physical exam, patient history, and vital signs into one integrated picture that points to the correct treatment protocol. From this, an integrated patient file is created, containing both the vital signs and the main actions of the paramedic in a consistent format. The file can be viewed as a dashboard in control centers and hospitals, allowing hospital staff to prepare and making the handover from ambulance to hospital smoother.

 

MDA’s role in ESCORT is clear: to bring the real-world clinical environment into a complex technological project. By highlighting clinical gaps and testing ideas against the realities of emergency medicine, MDA ensures that the project’s outcomes will inform how future emergency care technologies are imagined and evaluated, helping the entire consortium design solutions that remain grounded in practice.